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Aff - Freeman, George L_3/3/2006� AFFIDAVIT � Comes noca TAbIYA L. SCHP+IITT and RAN1)P_LL G. FREEP�lAN, being duly sc•rorn upon their oaths, and state as follov7s: 1. That the undersigned, TANYA .L. SCHMITT is an adult person �nd resides at 200 S. Fifth Avenue, Haubstadt, Indiana 47039; and �hat the undersigned, RANDALL G. FREEM.TaN, is an adult person and rzsides at R.R. l, Box 343, Haubstadt, Indiana 47639. 2. That rhe undersigned, TAbIYA L. SCHf�IITT and RP1vDnLL G. FREEtJi.nSi arz the children of GEORGE L. FREEMT�N, and that the undersigned make this aifidavit based upon personal knotaledge of the iacts conLained herein. 3. Thac GEORGE L. FREEb7AN died on the lOth day or July, 2005, �•ihile domiciled in Gibson County, State of Indiana, leaving a Last i^7ill and Testament dated the 8th day of May, 1973. 4. Tha� the aroresaid Last N1i11 and Testament �aas admitted to proba�e w_thout administration in the Gibson Circuit Court, on the 29th d�y of September, 2005, under Cause No. 26C01-0509-ES- 00078. 5. That no administration of the estate of GEORGE L. FRESh1P,��T is contemplated by anyone to the knowledge and belief ot the undersigned. o. That the probate estate oL GEORGE L. FREEDi�sd includzs the follozving described real estate situated in Gibson County, Stat2 of Zndiana, to-�vit : TRACT 1: Part oi the West Half of the Northeast Quarter oi Section thirteen (1�), Township four (4) South, Range elev2n (11) West, Johnson Township, Gibson County, Indiana, and more particularly dzscriUed as folloz.�s: Beginning at a mag nail set flush marking the northeast corner ot said half, quarter section; thence South O1 degrees 00 minutes 09 seconds S�Test along the east line of said half, quarter section thirteen hundred twenty-chree and iortv-two hundredths (1323.42) feet to a 5/8" iron pin Lound 2" above grade; thence Dlorth 89 degrees 43 minutes 58 seconds West eight hundred eighty-three and twelve hundredths (II83.12) feeL to a 5/S" inch iron pin found 1" above grade ���ith cap inscribed "Fred J. Kuester RLS S0137"; thence 2�iorth 03 degrees 21 minutes 36 seconds P7est t�oo hundred two and sixtv-tcao hundredths (202.62) feet to a 5/8" iron pin iound flush vfith cap inscribed "Fred J. Kuester RLS S0137"; thence South 85 degrees 26 minutes 09 seconds S•7est �hr2e hundred fifty-eight and fourteen hundredths (358.14) ieet to a 5/e" iron pin found 1" above grade �vith cap inscribed "Fred J. Kuester RLS 50137"; thence I3orth 00 degrees 06 minutes 00 seconds Pdest six hundred forty-one and no hundredths (641.00) feet to a 5/8" iron pin found 3" 1 },17 MAR 0 3 2006 � �� �s'/.,<..: t�;,F;: . �J � GIBSON COUNTY AUUi7UR � � belov� grade; Lhence South 89 degrees 16 minutes ?5 seconds East four hundred forty-five and no l�undredths (445.00) feeL to a 5/8" iron pin found 2" below grade; thence North O1 degrees 21 minuCes 57 seconds �ast t�,ro hundred nineteen and foundY4°lbelo��u grade hsthence South e89 degrees558 minutesp52 seconds East seven hundred seventy and ninety-hundredths (770.90) feet to a 5/8" iron pin found- 2" belo�a grade; thence North O1 degrees O1 minutes 03 seconds East trlo hundred ninety and forLy hundredths (290.40) feet to a mag nail set on the north line of said half, quarter section; thence South 89 degrees 59 minutes 43 seconds EGst along said north line fitty and no hundredths (50.00) feet to the point of beginning. CODITAIDIID?G 26.377 ACRES, P+IORE OR LESS. Subject to all legal rights-of-��Jay and/or easements. TRACT 2: Part of the Northviest Quarter of �he Northeast Quarter of Section thirteen (13), Township four (4) South, Range 2leven (11) c•�est, in Gibson County, Indiana, and more particularly described as iollows: Beginning at an iron on the north line and sixty and one tenth (00.1) feet east of an iron marking the north�•�est corner oi said quarter quarter section; thence south, zero (0) degrees, si:c (6) minutes east, one hundred seventy-t�do (172) teet to: an iron; thence north, eighty-nine (89) degrees, fifty-rive (55) minutes east, one hundred iiLty- rour and five tenths (154.5) ieet to an iron; thence north two (2) degrees, thirty-five (35) minutes easc, one hur.dred seventy-t�vo (172) feet to an iron on the north line oi said quarter quarter section; Lhence �•lest along said north line, one hundred sixty-tvio and iive Cenths (102.5) ieet co an iron at the point of beginning. ConLaining 0.6� acres more or less. Subject to all legal rights-of-way and/or easements. 7. That, pursuant to ITED1 III, of the aLOresaid Last i4i11 and Testament, GEORGE L. PREEP•1.AST provided that if his �-rife, LOUISE FREENLnST, predeceased him, ���hich she did (as LOUISE FREEhL�IQ died on the 21st day of May, 2004) , GEORGE L. FREE1✓La.Id first bequeathed the sum or Five Hundred Dollars ($500.00) to each of his grandchildren alive at the time of his death and GEORGE L. FREEi�LAs? then bequeathed all of his residuary estate, which included all oL the above-described real estate situated in Gibson County, State of Indiana, to his t���o (2) children, TP1�?YA L. SCHMZTT and Rn1dDALL G. FREEP�LI?Id, both oL �ahom survived GEORGE L. FREEP�LnN, in equal shares. 8. That GEORGE L. FREEP�I7�I had six grandchildren, all oi whom survived him and all ot �•rhom are adults, and their names are as iolloois : a. Julie Clescer, b. Darrin Schmitt, � c, P•7ark Schmict, d, him Elpers, 2, Shannon Otcman, and f . Cliris Freeman; and 0 that the bequests of Five Hundred Dollars ($500.00) made to each of said grandcrildren have been satisfied inedu b a e ch dofcedaba the separate Receipt by Beneficiary sig Y grandchildren, which Receipts are marked as Exhibitsart� hereoL� ��C" � ��D" � °E" � flTlCl °F" , attached hereto, and made d j� 9. Thac the estate of GEORGE L. FREEMPN taas not subject to ar.y iederal estate tax. 10. That, to the best of the undersigneds' knoc•rledge, there are no outsLanding debts of or claims against the decedent. 11. Tha�, pursuant to Indiana Code 29-1-7-15.1, no real estate situated in the State of Indiana of tahich any person may die seized shall be sold to pay any debt or obligation of such deceased person, =.��hich debt or obligation ydministratione u on record, unless Letters Testamentary or of P said decedent's estate are taken out within five (5) months after his death. Inasmuch as no administration of the es�ate o° GEORGE L. FREEMAN ��ias had wi[hin said five-month period, title to the real estate situated in Gibson County, State of Indiana, �ahich �•�as oc�med by GEORGE L. FREEP+LAIQ immediately prior to his death vesced in Tt=1dYP L. SCHMITT and RP.DIDALL G. FREENiAN, pursuant to the Last Will and Testament or GEORGE L. FREEPIPSI. 12. Th�t this affidavit is made zor che purpose of demonstrating the o�•�nership interest of TP11YA L. SCHMITT and R�S?DALL G. FP.EEP�.�.bl, in the real estaLe situated in Gibson County, State of Indiana, �vhich was o-vmed by GEORGE L. FREEt�Lnsd immediately prior to his death. Further the aLZiants sayeth not. STZTE OF INDIv.iJA COtNTY OF V?��?DERBURGH l ) � '' � P � �. 5��� :��.� Tanya L. S hmitt . . , ' � ,,v�C1t L' �v...ti/ Randall G. F _man ) ) SS: ) i:�1dYA L. SCKMITT, being first duly s���orn upon h2r oath, says she has read and executed the foregoing Affidavit and chat the matters and things therein set forth are true to the best of 1-�er kno:aledge, intormation and belief. ��_��-c-��. ' ' ' �, Tanya L. S hmitt � 0 Subscribed Gnd s�•�orn to beFOre me, the under�igned Notary Pu lic,` in and Zc-r said County and State, - tr115 ��� day OL , 20G6. �LG \ . �,t;a,.� ...,:. -�:('e.: Liij,�..';. �>;;�;,;',:My;��`oc�Smi'ssion Expires: - � ��- �3ulYrZ•7 2006 ;. . ?lr;� : �r_'. • `ti. ';�, : .L. . ;. , -.-. . rn . ':_p. My Reszde�ce Zs: ';�;,'._ Vanderbu"rgh County, ':`%:.' State 'or `Indiana. ' _ i',�;; STATE OF IriDIPNA COUi�ITY OF VPNDERBURGH ) ) SS: ) ��1,���� 7 � ��.�c�e Diane L. Bender, Ilotary Public RANDALL G. FREEb'[F�SI, being first duly sworn upon his oath, says he has read and executed the foregoing Affidavit and that the macters and things therein set forth are true to the best oi his knowledge, iniormation and�l=�f• � J �: � � tr��w�e�--' Randall G. F eman Subscribed and sc��orn to before me, the unders gned Notary lic, in and for said County and State, this �tio� day o� i?'r�i� . 2006. - .•�;>..^_�,.�;,4�•`tii.. -t! � � _ - ,�� � . 'P7y,=-ComFtils's�on; Expires �;? : .:��JulY{.2'J�:'2006 _:: , .:; : ,',;P�t�!,'iReside,nce Is: !`�;,'iTariderburgh County, . �•... `��;, 9�c:�te,� oi `�Indiana. ����� � ��� Diane L. IIender, Notary Public THIS 1NSTRLT�iEbIT L�1�5 PR�PARED BY Diane L. Bender, Attorney at Laca, lil S.E. Third St., Sui[z n02, P.O. Box 1536, Evans�rille, Indiana a7706-1536. ; 'i �j .� S { STATE Or � nDI u1?� COiTI�TTV Or GT_BSON � EXHIBIT A ) ) SS: ) IN T: �?:i-° i m�R 0� THE �STATE ) Or GEORG� i. r RE�Ni.=�?v , DBCr�L SED ) � iI� 1�� G� BSON CI?CliIT COL'RT D7o. 25C01-O5�g-ES- .00078 P.ECEI°T BY BENEriC?�'�Y (Jl,i ; ° Cles��r) lil°_ l�"1Q°•-c�_�n.�.�� zJ°_1_T13 a grandc:�:;ld Oi C°Orc�� L. �reeman dI1C 3 YJ2_j°-i1ClZ=j% v_T1C1°_S L._`?2 !�35� iJ�=�l �:1C� Testam°n� O� �.'-°Ol"'�]° L. rree�an, he,-eby 3C}�.�10W�°C14°S ?7°r -"°_C°_1P� OL `P_2 Slliil O� "it,-O --iL.:1CIT°_C: r ��Q .(�Q� ��q'�ea�-^ed �O :"1?S under Sd1d W' l 1 3IIC1 -L'Y�n�r Dolla_s ($ acl;nowl eag°s �='-a+- all ass=_�s due ann ovring �o her ;� co�zec:; on �diL.}? SZ1C1 �5�.��° �flV2 D22I': r��o1J°Q. Da�°d ��!_s 28th aay o- October , 200�. t�1�,c�. ���'� . JLI,c l�nt°= _ � _ `'" 1 G111YIR� '.�:LCA� L�'12 �°_P_�� i.1°S � Or �°'-�]t'ry � L}'13�. �ne =orego_ag rep_esencatio�s are true. . , � J Ju7l-e Clest�r � Dian° L. nender, �°_3i9-82 �ii g.�. T`�ird St., Su;te �02 P.O. Box 1535 Evarscill=, I�!3i=_na 57705-1536 TeleDhone: 812/�23-8553 P_T_OR?v�Y _°OR EST=TS Z i12-2}JY CE?"�1Z�T L_`!3i, `��"lE =0r2J0_I)g OT' z���C;e� 12 rjV(G�.2C.0`}Q'' OY C�OCUiil?RL. COii1D� le5 iti:i ��! L'_RZ r2G�11Y2P•.1°_:7i.5 0� Tr_a_ rega=d to iniOTilfl�.10II excluded �rom �h2 DLD�1C ?'or=OYa l:.IlG;�r Acni�istra��:,-e Rule 9(G)- �i� -� 7 n �� r�-",-.�(: o_;,o r 17iaIIE L. �?IIC°Yi 'y a:. �fl�. S_ATS Or II��IAI�'� COUiV1Y O" GIBSOIv � EXHIBIT B ) ) S5: ) IN TriE �i�TTER Or ?H� ESTA1� OF G�O�GS L. rRr�Lf'LZ'�, DnC�AS�D �'n� undersigned ) ) � IN T'tiB G1�SOiv C1RCu!'I' COLT2T No . 2 oC01- 0� �g-ES- 00078 ?ECEI?T BY B�'N�'r T_CIP.RY (Darria Schmitt) be;ng a grandcr-ld o; G=o_ae L- ?ree�na. an3 d}"J°*7°�_C�aTjj ll'iQ?r i.h2 !�dSL N�11�- c?1Q 125i.diTl?:!L 0= G°Ora° ,T�. P „ " r iv=_ i?und�-ed �reem��, hcT2b}� �C}L10V:12QQ°S 1'i15 1�C°1D� GL t�'1_ S..iil 0= Dollars �5��0.0�� }J�Qll°_d�!1°Q :-O �"'_iffr "=?32= 5�-,� Vii�� ZIlCL -u-i_R°S 3C�TlOVi� �QJ25 L:hc� 3l l Z552L5 dil°_ Z=?`� o�.a_ng LO _`!iiil 1:7 -'=0=57°Ci._0:1. b11i.�'? SciG� �Si.@L° PBV2 }J�.=n reC�'_VECS. .. � 3 a�Y o_ � � U/ � zoos. 73i.2(1 L}!15 � � � C � ` � -- Ji 1-r�i � S' C'SiP.1 L �. �7_' �'1 i z'�_�'Rl� llP_d0T.L71° 7J'=IId� i-125 i01' �°T.]LrY� i.. ��.. �-� °-0T°�O'-71y le�reszn�ations are LTL1°. . /� -�� /1 � 1J �r 7arri. Sc'�!m; �r D;zn� �. Bmend�r, y,i.,+e319-82 111 .].v. 1r1=Q SL. � SLLSLP ��2 P.G. 3ox 1535 E�a-�sti-i11°, I�ciana L770'-1530 Telepho�e: 812/�23-S558 - =TOR?��Y PO� �STATE . T i�2io�7�� Ccr�i._'J `_7�ut i.}'-°_ L01"'=a01i1�'j OT "d`�.C�Cr:c^Q C011T� R?COTCl OT COCLIII°_=!i. COIIlD=125 'vi1�.^ t7'12 rE:4'll1r?moIl�S O- 1'1fll RL12 7�G� b]i ='n segard CO liliOTR2.C10R °xcluded �rom Cile Dlll]�-C T2COT_Q L'?7!'i°_'_- Administrati�° Rule 9(G). �j . ' �L�_r.f� _ / " . Diaae L. B2ncer� �t�or�zy at La�•: STATE Or INDI?u4a COL��TY Or GIBSON � EXE3IBIT C ) ) SS: ) � N T�� \in 1T�R Or' � K� �STAT� ) OF GEORGE L. a_a,gS�i+���, DEC�ASED ) � 1N T�IE G� BSON C� RCli � T COLtZT D�o. 2oC01-O5�9-ES-00078 RECEI°T BY BEhTEFICII:P.Y (�iark Schmit�) o _ � � =ro�,;:a� a�� 171° unde-"51C,12u� �J°iil� � -r'j'-�dI1Q�^nil�( O� C..,O-y_ �. - =i i r >>:7C7°- i.t12 L35� t'�' Zl zRCl T2SLaii12R: OL George L. d D°ZE- C_d_� Yr22iTldR, her�b;' acknoti�12Q72S -'115.T'eC°1�L CS �h2 Si:ii1.0- � il,-2 �±L:"1CT°� 170S1�T5 .��7��.��� b°QL°,�L_P �O �'11�Tr ii1Q�r 53-Q V:l!� dIId 'L'-L.i.°r �_�' �_CI dC}�-ROW�2GyeS �rldi. Z�1 ZSS°_�`„S Clll? dil� OWi_Tlg L.O _n'_iSl -.7 CO-'-!eCL._`J'! }J-�.�n r�^oi'ra ' W1LR�5°u1C .�S�fl�c ia3"vc �._-�.,C. . � f � Daced �=_-s �,� da� o= GiG�i - 005. c , :` I� i ����� �� � �' I �I /. �h-'�-� ' � �l. xiark Schmi=�_ r � �L73i. -0Z'Eg0_=?y � 1 dT.L1��. ii:"!G'+cr ��2 D2:'?Z� �1�5 T_0= A�_� �' � -�'�I - raProSe-?C3i.10:?S dT2 LY'll°_. � � I I I l� {� 1 � � � �y�� -��L , "��n Niark Schm� c� D1an° L- Benner. =:'31°-B2 11i.S.E. Third St., Su:�e �02 ?.0. Box 1535 �vars�_lle, I�d;a�a g7706-1�36 Telephon_: 812/92�-8�58 ATTO�E�' rOR �ST_'v_� �� 1 1"12TE�bV CEri.1f�' that �R2 �oregoing�. or ?i.�3C'""!2C1 CO'�'ri- R°COTC� ,}, 1,� ,-� 1,;,-°meats o� T_ial Ru1° 5(Gi �•:'-�?'- Or COCL•II1273i. COIDD� 125 47_i.-� �. G _r . 1-,v ,. l r r �un r regarc �O in-or�.�at=o� excluded _ om L_.° ?'-b-1C 2C0_(� C+e- Adminiscrati�-e Rule 9(G). .� <..� .� �'�=� °� Dia-ie L. 3ezder, rt�o=r_2y �� L�.� STPT� 0. � NDI�Ivt� COiJidTv U" GI�SON �HIBIT D ) ) SS: ) IN TH� �'i�1TBP. Or' T�.E BS_?�-� ) Or GBO�GE L. rREE�i�1Q, DECSASED ) 0 IDi T'r_�.GI3SON C� RCII� T COu?.T 09 00078 iQo. 26C01-OS_-��- P.�CEIPT SY BEISEF'ICIARY (,iliil "ZD=Y'S� '-,= be-�n a ra:�dchilc o- G=_o-aa ?,, !=--e°:nan aac 3ne uaciers_g._ d, g g_ -- � z,l i a.1d 1°stamc*n� o= G°oT'g° L. Z �D2i12ilC1ZT�% ll:1Q2T LP° L�-5� G� i_ r roCE_�L O_ LR° Sl1ID O' -'-V2 ?i�.'-IlQ-°C l T -=e°m�n, hereby ac,�ov;l°ctg°s.h°_ D011d�S �$��0.��� `J°Qll°-ZL.h°_Q LO Y?°1' i1�.3.�r 53-G� Y7_l� dT1C1 �L'T�''!2- zC}t-T101•i 1�.?(_,SSgg.- �lld= d� �. �SS°-5 Qli° �CII�'� ON�1_lQ i.0 h°T 1II CO-L`!°_CLi p=! it'1LI7 Sd1rS 'Si.Z`.°_ ii?tiZ D?=� r��-°-ir°3' /I/ �- !7� `I �a� - X�I7/I�ryry� , 200�. �at�3 �h; 5 ���o -�_?' o- i ��r ���/,�.-� Ri ; �lp�r� . � 11'Tl.� "i�a°�- i,}'1C �°il�'u1L125 i0?-. y7.=r] i1TV�� L�"ldi, i._`'_° �O_T2�01:1Q 1 3-_ reoresentatio�!s are tTu°. �1 n� ��/l��i �i� �lpa,-� D-a�e i.. Be�de,-, ,".-u319-32 111 S.°: Third S�., Slli�e ?02 r.0. Box 1530 Ecans.,--_lle, I�!diara �7700-1535 T�le�hone: 812f�23-8�53 ATTO��EY rOR ^ST_A=E I hereby C?TL1iV L_7�ut the �oregoing OY dLLZC�1°C� C0�1r�. :?°CO`4 p�" dOCiliil°Ri. COiiIF)11°S 4:1L'il i.�"lZ T2QL'iTEi�l2:li.5 OS 'rT1Z�. -'�il�' S�C.� w_��Yl �A�nrQ LO 1�-0rT�3i._0='_ °}�C�llG�?v �rom �7'lE Dl1�J�1C rEC01(j. li'10Er zdmi;iistra=i:%z Rule 9 (G) � /�/ l 5 I )� ( � T1T-.. � J�G�".�� J. �el7Qer� Ll_ Y:lcl! Gl J'�".�\ � � ! .; .; l� STP_TE 0? SNDIPiJA COUI�T_Y 0^ GI350?�� � EXHIB7T E ) ) SS: ) IN TN_E i%!A i T�i�. Or _'r_E �S?'�='S� OY G�ORGE �. "�E�i�'LV�v, D3C�'�S�D ) ) � yN THE G!�SON Cl?CuI1 COvYT 09 -.�_ 00078 lvo. 2oC01-OS_ �5 �ECEIPT BY BENEFICIaRY (Snanzon O��maa) _he undersi�ne3. til°1TlQ _ yrd_T1QCi?i l G7 0= C_O,-C7° 7� Fr�'=i�IdR d�Cl n;ll � a b�ne=iciary ��der the �as� r.___ anci Tescam_�= o� Geo�-g=_ �. ; ,-��=;p� o` che s��m o= _--�e :=u�!d_ec rree;n=_a, :-�°rebti acknov.*__3c=_s her - l l r 5�0. ��� �"J2 llc3i.!1°_^ -0 }"i?- �1?1Q�1" 531G� j'�-1 l =+1•�' -=i'-1"�r-=?" Do__a_s ($- �I dC}C..10ivl2Q�a,` _h?� ��]_ d55°-5. Clll_ �u-1C� 0�+�1i1�� �O !1_r 1n C0�1'1°C�20:? W1LI'i S.:1C1 Y..�Si.3L° t!.=`i°_ iJ°_°=1 rcCci �a:". � . �\, , Da�°d th; s -���lN daY oi, 1'.�i����'t'�"L ,?00� . 4 �" , ��1 ., -� � � �U_ . i �,��I';��;�, —�� Sh�r�on ot��an . T G� ilrTil. il:lno� Y.:'12 �Dc'':73�i.1°S i01- �°r�Lry� ��1_"ld� L'1° '0-�.001Zy r2pT292R�flClOPS �-2 LT'�i°. � �� 5 �c4 ��� �� Shari,"iori 0�=maa Diane L. Bende_, ra319-82 11� S.E. Tnird St., S�ite 402 P.O. Box 153'0 Bva�sti�ille, ��ciana �770'0-1536 Telz�hone: 812/�23-05�8 A^1TOr'.NEY rOR ESTAT : 2 nereby C°--t1LV LR3� i,:12 �oregoi'_7� Or :LL�uC72Q COL'TL t�.2COr� t h_ requirements o� T=ial ?ule 5(C) ,+'=-r or docume;it co�np_�es c.i�n � � reyd2-G� i.0 _P_� OrT13�10_'1 °}�C1llG�°C� i1OPl t�":e T7L�11C T°CO_TC� �i?7Car �ciministrat_�e Rule 9(G) - �� 7 ���� i' Dia,le L. Be�der� -1'�-LL(J-�?°-1 a� Law� STATr. OF IA�IP1vP- COUNTY Or G�350N � EXHIBIT F ) ) SS: ) IN T�iE Ni?TTr�R OP _HE EST�TE ) Or G�ORG� L. FR�Erii'�', DnCy%�5�� ) � _N Tr� GS�SON C�?CuI: COL7RT �?�. 26COi-O5�?-��-00078 P,EC�iPT BY BENE:ICIARY (C.7�is rre°man) 1"h° L'=1C°'_"S1 j:lnQ� b°_1P.� Z�13a`!r1' Cl-�i.1C1 0.= V'.oprC�E 'L.. � r°_�iid� a-1Cl a b°;,�=iciary under c;,e �ast P?;11 an3 Tzs�a;n=_n: oi C�o,-9� L. :re°Cilc-!, !1.�ro�jy �ciiv'lo`::IAQ�?s �"l;g Y°�-aiDL. oS �.Il°_ siliil.oL ";y-° :L'-?G�r°G�' T,�011.d_TS ��$S��.Q�% D?CSll°_d�._R°_u �O 111R1 llna°r SZ_G� V:ill Z_7rl 'L'Si._h2= dC}CRO`.412d�2S� �L-:3L 'c� � d55_L3 �'7ll° �II� ova; nq r0 '11II1 1P- COT1n°C--OT? -o � a"` tJcon raCci�d°Cl. �•?li..i1 53'_C� :5�`.d__ 7...v° / i 7a�ed �`!is _l��— •�a� o= __..- I a�iirm, ��nder �he �enalt;°s =or reps=s°nL3tions dr2 L'--ll2. / S Diar.e �. Bender, �a319-32 lil 5..=. T1112�G� 5�.� SL'1L2 �'-�2 a_p, Box 1535 Evar.sti,-; lle, I�dia�a �7705- � 530 ^telephone: 812/�23-85�8 vTTU?.�\�Y FO? �STATE ?00�. , �ha� =h= �oregoina S here�'Jy C°Yt'i}: L}?3L �i12 -0T°Q01-rlj Or 3LLdCP°� C011�� t�.ECO`CI `l� h ,-equire,-n°nts o� T_,ai �ule 5(C1 o,- documez� co��i;AS �,�_ �. e � r ,-=co,-d u�,�or r=eard to in�o-ma��on excluded irom �he pl=�_'- Admi-!is�rati�-_ Rul2 9 (G) . ��,U �cG � / �"-� ✓�� Dia�e L. 3e-�de,-, P,_�or�!°_y a� La�. � Prescribed by the State Board of Accounts (2005) Declaration u County Form l 70 This form is to be signed by the preparer of a document and recorded ���ith each docu- ment in accordance �vith IC �6-2-7.�-� (a). I, the undersigned preparer of the a�tached document, in accordance �vi�h IC 36-2-7.�, do hereby aifirm und�r the penalties oT perjury: 1. I have revie�ved the arached documznt ror the purpo�e of identiryin; and, to the extent permitted by la�v, redactin� all Social Securit�� numbers; 2. I have redacted, to the extent permi �ed b;� la�n�, each Social Security number in the attached document. I, the undersigned, a �irm under the penalties oT perjury, thatthe �oregoin��ledarations are true. ,:��U�� � �� Signature o; Declarant Di.ane L_ Bender� Attorney at Law Printed Name o; Declarani